MELISSA N PRUTCH (DPM) – Podiatrist, NPI 1164153706
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 PODIATRY in FL
Provider Addresses for MELISSA N PRUTCH (DPM)
10954 Sheldon Rd
Tampa, FL 336264701
Phone: (813) 499-0787
Fax: (813) 576-3773
Type: Location
7505 VILLAGE SQUARE DR STE 101
CASTLE PINES, CO 801083693
Phone: (303) 805-5156
Fax: (303) 805-5157
Type: Mailing
15815 SHADDOCK DR STE 130
WINTER GARDEN, FL 347875773
Phone: (813) 400-1140
Fax: (813) 701-9132
Type: Mailing
1005 DALE MABRY HWY
LUTZ, FL 335483021
Phone: (813) 549-5678
Fax: (813) 701-9132
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $3,191.
Total Amount is formed as General ($3,191) + Research ($0) + Ownership ($0) = $3,191.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Gemini Mountain Medical, LLC ($877).
Total Amount
$3,191
General + Research + Ownership
Payments
38
Total payment records
General Amount
$3,191
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gemini Mountain Medical, LLC | $877 |
| Paragon 28, Inc. | $576 |
| Stryker Corporation | $510 |
| Arthrex, Inc. | $462 |
| Kerecis Limited | $352 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-08-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230816003161 | I | Podiatry | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 141 | 78 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 71 | 43 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 48 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35 | 28 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 33626)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | MI | |
| P O D I A T R Y | NJ | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | KY | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL | |
| Physical Therapist In Private Practice | FL | |
| P O D I A T R Y | FL |
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